50 S. San Mateo Drive, #180
San Mateo, CA 94401
650-342-4145

1720 El Camino Real, #205
Burlingame, CA 94010
650-259-5050

Find Us

View the KidsDoc Symptom Checker from HealthyChildren.org

All forms can be opened in Adobe Acrobat format* and printed out on your printer.

New Patient Forms

If your child is a new patient, you will be asked to complete two of the following three forms.

Well Child Visit Forms

At some of your child's regular check-ups, you will be asked to fill out a questionnaire about your child's health.  You can complete these forms in advance by downloading the appropriate questionnaire, filling it out, and bringing the completed form to your child's appointment.  Please note that not all recommended check-ups will have forms.

Administrative Forms 

 

In order to view or print these forms you will need Adobe Acrobat Reader installed.
Click here to download it.